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HEAccording to Dr.ssa Elenora Renzi, a 45-year-old male in otherwise healthy condition presented to the emergency department with a foreign body — an electric vibrator, still functioning — that he had deliberately inserted into his rectum approximately six hours earlier. After several unsuccessful attempts at self-removal, he sought medical assistance.
Imaging confirmed the vibrator was lodged in the rectosigmoid colon, with no signs of bowel obstruction or perforation. Digital rectal extraction proved unsuccessful. Under conscious sedation, the object was successfully removed endoscopically using a pneumatic dilatation balloon typically employed in patients with achalasia.
The patient regained normal bowel activity and resumed oral intake within 24 hours.
Colorectal foreign bodies can lead to complications such as intestinal obstruction, bowel perforation, rectal fistula, perianal abscesses, anal stenosis, or encopresis. Laparotomy is generally reserved for cases where nonoperative management fails or in the presence of bowel perforation.
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